ALEJANDRO S CURIEL MD
NPI 1811938616
Family Medicine in Solon, IA


Quality Rating: 92.18 out of 100 score

NPI Status: Active since June 10, 2006

Contact Information

510 W MAIN ST STE A
SOLON, IA
ZIP 52333
Phone: (319) 624-2991
Fax: (319) 624-3931

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  • Individual
  • Male
  • Family Medicine
  • PECOS Enrolled

About ALEJANDRO CURIEL

Alejandro Curiel is a primary care provider established in Solon, Iowa and his medical specialization is Family Medicine. The healthcare provider is registered in the NPI registry with number 1811938616 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X with license number MD-38445 (IA). The provider is registered as an individual and his NPI record was last updated May 2024.

NPI
1811938616
Provider Name
ALEJANDRO S CURIEL MD
Gender
Male
Entity Type
Individual
Location Address
510 W MAIN ST STE A SOLON, IA 52333
Location Phone
(319) 624-2991
Location Fax
(319) 624-3931
Mailing Address
200 HAWKINS DR IOWA CITY, IA 52242
Mailing Phone
(319) 624-2991
Mailing Fax
(319) 624-3931
Is Sole Proprietor?
No
Enumeration Date
06-10-2006
Last Update Date
05-23-2024
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A primary care provider (PCP) like Alejandro Curiel sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.18, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD-38445
License State
IA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Location Map

Secondary Locations

  • 200 Hawkins Dr
    Iowa City, IA 52242
    (319) 384-7222
  • 2055 Oakdale Rd
    Coralville, IA 52241
    (319) 248-0037

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Home State Health

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
  • Ambetter from Nebraska Total Care

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
  • Ambetter from NH Healthy Families

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
  • Ambetter from Sunflower Health Plan

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Ambetter Health of Delaware

    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • Ambetter of Illinois

    • Central Bronze - HMO
    • Central Bronze + Vision + Adult Dental - HMO
    • Central Gold - HMO
    • Central Gold + Vision + Adult Dental - HMO
    • Central Silver - HMO
  • Medica

    • Medica Insure Bronze Copay - EPO
    • Medica Insure Bronze Copay $0 PCP - EPO
    • Medica Insure Bronze Copay $0 PCP Office Visits - EPO
    • Medica Insure Bronze Premier - EPO
    • Medica Insure Bronze Share Plus - EPO
  • Oscar Health Plan, Inc.

    • Bronze Classic (Choice) - HMO
    • Bronze Classic 4700 (Choice) - HMO
    • Bronze Classic 4700 (Select) - HMO
    • Bronze Classic PCP Saver Plus Rx Copay (Choice) - HMO
    • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
  • Oscar Insurance Company

    • Bronze Classic - EPO
    • Bronze Classic | MercyOne - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic 4700 | MercyOne - EPO
    • Bronze Classic PCP Saver Plus - EPO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Insulin) - HMO
    • UHC Bronze Standard (No Referrals) - HMO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) - HMO
    • UHC Bronze Value HSA (No Referrals) - HMO
    • UHC Gold Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) - HMO
  • Wellmark Health Plan of Iowa, Inc.

    • Wellmark Bronze HDHP HMO - HMO
    • Wellmark Bronze HDHP HMO | Farm Bureau - HMO
    • Wellmark Bronze Primary Care | UnityPoint Health - HMO
    • Wellmark Bronze Traditional HMO - HMO
    • Wellmark Gold Primary Care | UnityPoint Health - HMO
  • Blue Cross Blue Shield

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
103149OTHER (01)KSBC/BS OF KANSAS

PECOS Enrollment and Medicare Participation Status

Alejandro Curiel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Other DME (D1E)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    5 DME suppliers used 38 Medicare Claims 68 Services Paid

  • Other DME (D1E)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    4 DME suppliers used 13 Medicare Claims 13 Services Paid

  • Other DME (D1E)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    4 DME suppliers used 15 Medicare Claims 33 Services Paid

  • Other DME (D1E)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    4 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Other DME (D1E)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    5 DME suppliers used 14 Medicare Claims 14 Services Paid

  • Other DME (D1E)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    4 DME suppliers used 19 Medicare Claims 19 Services Paid

  • Other DME (D1E)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    5 DME suppliers used 29 Medicare Claims 129 Services Paid

  • Other DME (D1E)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    4 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Oxygen and supplies (D1C)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    3 DME suppliers used 42 Medicare Claims 45 Services Paid

  • Other DME (D1E)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

  • Oxygen and supplies (D1C)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    5 DME suppliers used 86 Medicare Claims 94 Services Paid

  • Oxygen and supplies (D1C)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • Drugs Administered through DME (D1G)

    Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)

    4 DME suppliers used 23 Medicare Claims 6900 Services Paid

  • Drugs Administered through DME (D1G)

    Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme (HCPCS:J7620)

    1 DME suppliers used 24 Medicare Claims 1800 Services Paid

  • Oxygen and supplies (D1C)

    Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:K0738)

    1 DME suppliers used 11 Medicare Claims 11 Services Paid

Drugs and Nutritional Products

  • Other drugs (O1E)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    3 DME suppliers used 34 Medicare Claims 34 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 52333 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.67
  • Minimum New Patient Price $54.88
  • Maximum New Patient Price $167.71
  • Average New Patient Copayment $21.16
  • Minimum New Patient Copayment $13.72
  • Maximum New Patient Copayment $41.92

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.29
  • Minimum Established Patient Price $17.04
  • Maximum Established Patient Price $137.36
  • Average Established Patient Copayment $24.57
  • Minimum Established Patient Copayment $4.26
  • Maximum Established Patient Copayment $34.34

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 92.18 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 97.77

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 77.65

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for ALEJANDRO S CURIEL MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1811938616
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28211831662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 1 + 8 + 3 + 1 + 6 + 6 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1811938616 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225071772 SARAH THOMAS MD
Individual
Family Medicine510 W MAIN ST STE A
SOLON, IA 52333
(319) 624-2991
1639117054DR. ELIZABETH A MANGRICH HICKMAN MD
Individual
Family Medicine510 W MAIN ST STE A
SOLON, IA 52333
(319) 624-2991

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811938616, enumerated in the NPI registry as an "individual" on June 10, 2006

The provider is located at 510 W Main St Ste A Solon, Ia 52333 and the phone number is (319) 624-2991

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

Medicare beneficiaries should expect a typical cost of $84.67 with an average copayment of $21.16 for new patient appointments. Established patients should expect a typical charge of $98.29 and an average copayment of 24.57. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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